- Helio Health Inc. (Syracuse, NY)
- …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... position and also take into account information provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case /Care Management Position… more
- Covenant Health (Bangor, ME)
- …supervision of the VP of Accountable Care Operations & Population Health Strategy the Utilization Review Case Manager will work collaboratively with other ... members of the healthcare team. The nurse case manager also acts as an advocate... conducts medical necessity reviews in accordance with the Utilization Management (UM) plan for patients that are housed… more
- UCLA Health (Los Angeles, CA)
- …for assessing and coordinating care for a diverse group of patients. This in-patient utilization review case manager position will work on-site at our ... + CA RN License and BLS certification + Recent experience in case management, utilization management and discharge planning + Minimum of three years of acute… more
- Beth Israel Lahey Health (Burlington, MA)
- …just taking a job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient ... effectively with medical and hospital staffs. - Case Manager experience as well as Utilization Review...Case Manager experience as well as Utilization Review experience (review medical necessity and discharge planning)… more
- Veterans Affairs, Veterans Health Administration (Palo Alto, CA)
- …Master's degree in nursing or a related field. RN experience in case management, utilization management and Public Health Nursing. National Certification ... Case Management). Working knowledge of VISTA, BCMA, National Utilization Management Integration software. CPRS Computer Systems, and Microsoft Office. Physical… more
- Morris Hospital (Morris, IL)
- …in acute hospital setting. + Strong clinical expertise. + Prior experience in utilization management or case management preferred. + Ability to maintain ... evidenced-based clinical guidelines. Performs duties in accordance with the Utilization Review Plan. Demonstrates thorough knowledge of performance measure… more
- University of Miami (Miami, FL)
- …The University of Miami Health System has an exciting opportunity for a per diem Utilization Case Manager to work at Sylvester Support Services Building. The ... purpose of the Utilization Case Manager is to complete ongoing reviews for clinical utilization and identifying the need for continued authorization. The… more
- BronxCare Health System (Bronx, NY)
- …- Identify and report problematic cases with extended LOS providing updated information to Utilization Case Manager and /or Director for further action. ... Overview The Case Manager will coordinate care using...case management plan to assure appropriate and timely utilization of hospital, community based and other resources for… more
- Pacific Medical Centers (Renton, WA)
- …order to assure cost effective, appropriate utilization of health care resource. Utilization Nurse / Case Manager manages, directs, and coordinates the ... **Preferred Qualifications:** + Bachelor's Degree in Nursing + Upon hire: Certified Case Manager **Why Join Providence?** Our best-in-class benefits are uniquely… more
- RWJBarnabas Health (Rahway, NJ)
- …the length of stay and continued stay denials, improves efficiency, quality, and resource utilization . The Case Manager RN will work with Medical/Surgical ... Per Diem Case Manager Registered Nurse (RN), ...Per Diem Case Manager Registered Nurse (RN), Case ManagementReq...hospital setting + Minimum of one year experience in Case Management/ Utilization Management or Home Care +… more